Mayda Olivia Olleros, M. ED LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13679 Issued in TX

Practice address

905 E. Los Ebanos Blvd
Ste a
Brownsville, TX 78520

Phone

(956) 541-8040

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Willows Treatment Center LLC

  • Professional Counselor
  • Brownsville, TX
  • NPI 1447445648
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508951914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E. LOS EBANOS BLVD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-541-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E. LOS EBANOS BLVD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78520",
            "telephone_number": "956-541-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLEROS",
        "first_name": "MAYDA",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "M. ED  LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "116832",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8257OL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arturo B Olivarez Jr., REGISTERED PHARMACIS
• Elizabeth Olivarez
• Juan Olivarez Jr.
• Oliver Achleitner MD PA
• Mariza Diane Oliver, NP
• Adekunle Olubajo
• Cynthia Yvonne Olvera Camarillo, D.P.M
• Agustina Olvera, LPC
• Alma G Olvera
• Samantha Carolina Olvera, MD

• Professional Counselor in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.